Individual provider Active NPI

Tayla Sickelka, TLMHC

  • Mental Health Counselor
  • Orange City, IA
National Provider Identifier
1891572541
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
120909 Issued in IA
Practice address
111 Arizona Ave NW
Orange City, IA 51041-1425
Phone
(712) 737-9444
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 120909 IA Primary

Addresses

Primary practice location

111 Arizona Ave NW
Orange City, IA 51041-1425

Mailing address

111 Arizona Ave NW
Orange City, IA 51041-1425
Phone (712) 737-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120909IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Therapy Services LLC Current Accepting new patients
All Things New Therapy Services Inc. PastSince Sep 17, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1891572541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELKA",
        "first_name": "TAYLA",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "120909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.